HomeMy WebLinkAboutMIS97-0532 Propane - MIS Permit / Conditions - 8/14/1997 r
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P,O, Box 186 Shelton, Washington 98584
M I a C: E=` L_ 1__ A N F F F1 M 1 -1 FOR INSPECTIONS CALI. 427-9670
MI897-0532 PARCEL -322;345100025 PL.ATsOLPLO DIV : BLK : LOTS
JOB ADORE SS s E 50 MT . WASH i NC TON C 1 ON I ON
APPLICANTS TOM WARNOCK JR , 562-5317
OWNER ! TOM WARNOCK JR . 56P--5317 RFRMIIT TION
I_E'GAL n OIANFIC VISTA T1 2� A VAC STS AGJ A VAC OLIPPIC VISTA 01 A 11 1ASN11QTOR �COURT pIRA
&
PF10,JFCT DESCR i PT I ON : �uLL. �Y
CONNECT EXISTING PROPANE TANK Ol1TLE T TO CAS I= I RE PL ACt- to)®r
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PROJECT LOCATION :
DRIVE NORTH PAST THE AL.DE RBROOK HOTEL 1 /2 M I LIF 70 01_YMP I C VISTA SIGN ON TI-If R I tall T, GO 11P TfIF
HILL PAST THE LARGE VIEW HOME ON THE RIGHT, MAKE THE: 1�1 RST RIGHT TURN AN GO DOWN THE HILL, TO LOT
#25 IS ON THE RIGHT S I DF FIRST LOT NORTH Of 1l0USF .
PROJECT NOTES :
TYPE AMOUNT BY DATE RECE 1 P i
MCFE $ 6 -75 L.L.I1 PIS/ 14197 1039
WDST T 33 ,00 I_I H 081 14197 1039
Ir TOTAL r 1-19 OWNER t)R AGENT' DATF
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fI1S._P1M1, revs ®1t®t192
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
MASON COUNTY Permit No.
PLUMBING/MECHANICAL PERMIT APPLICATION C
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 Owner �b yn Q�h�( k- (' Phone # 0,O(o 5
Site Address - : !n
City ( St Zip
Directions to Job Site /- -L At ai h2 1Qk-"a' C
/! /7 c !�e ) &V r /b q Sr
Owner Mailing Address C
city St zip �/U3 f
Lien/Title Holder
Address
City St Zip
#2 Contractor Name Q('Cta(r;t,e Ida Contractor Reg. #
Address Expiration date
City St Zip Phone
#3 Parcel No. 3 22-3 `✓1
Legal Description
#4 Use of building Describe work 029l1► c_ y1Afi1Q
r�
#5 Type of Job: New Add A Repair
Pldmbing Fixtures 3.35 each Fee Mechanical Fixtures ($6.75 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_ ath Basins Heatpump, Other
Ba Tubs No. Units Fees
Show s Furn BTU
_Hot Wat Htr _ Heatpumps
_Laundry W her _ Vent Systems
_Sinks _ Spot Vent Fans
_Floor Drains No. Boilers/Compressors
_Laundry Basins _ HP
_Dishwasher No. Air Handling Units
_Disposal _ cfm#
_Urinals No. Other s
_Other I Gas Outlets 10 7
1' Wood, Gas, Pellet Stove 33.00
Permit Basic Fee 16.7
TOTAL PLUMBING $ _ 1
Permit Basic Fee �OS71'
TOTAL MECHANICAL
No Basic Fee for Wood, Gas, Pellet Stove
NOTICE: This permit becomes null and void if work or construction authorized is not commenced
within 180 days or if construction or work is suspended or abandoned for a period of 180 days at any
time after work is commenced. Proof of continuation of work is by means of a progress inspection.
NOTE: If this permit application includes the placement of a fuel tank, heat pump or other unit to be located
outside of the existing structures, a plot plan MUST be submitted as required below:
Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems,
Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRAC-
THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE
AWARE OFTHE MASON COUNTYORDINANCE REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR
FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM WITHOUT FIRST BTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY �—
DATE DATE
Return permit to: Department of General Services
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670/1-800-562-5628
.__.. --777- 7- -_ __
.OR OFFICIAL USE ONLY, Accepted by: Date,
,=<r -
eceipt No. Referred To__---_Referred
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY Proposal Proposal
Approved Denied
Planning:
Building:
Fire Marshal: